PMC Contraindications & Risk Factors 3

Question 1

During which trimester is the supine hypotensive syndrome (aortocaval compression) most likely to occur and why?

Accepted Answer

Third trimester, because the enlarged uterus compresses the vena cava when supine

Answer

By the third trimester the uterus is large enough to compress the inferior vena cava in the supine position, reducing venous return and causing hypotension.

Question 2

A client in her second trimester reports that she had a pulmonary embolism two years ago. This information indicates:

Accepted Answer

A history of thromboembolism is a high-risk factor requiring medical clearance before massage

Answer

A personal history of pulmonary embolism signals an elevated risk of clotting; medical clearance is mandatory before initiating prenatal massage.

Question 3

Which site is considered a local contraindication on ALL prenatal clients regardless of trimester?

Accepted Answer

SP6 (Spleen 6) acupressure point on the inner ankle

Answer

SP6, located four finger-widths above the medial malleolus, is traditionally avoided in pregnancy because sustained pressure may stimulate uterine contractions.

Question 4

A client at 32 weeks reports sudden onset of bright red, painless vaginal bleeding this morning. She says she feels fine now. The therapist should:

Accepted Answer

Advise her to call her OB immediately and not perform massage until cleared

Answer

Painless bright red bleeding in the third trimester is a classic presentation of placenta previa; immediate medical evaluation is required regardless of current symptom relief.

Question 5

Severe symphysis pubis dysfunction (SPD) in a prenatal client primarily requires the therapist to:

Accepted Answer

Use caution with hip abduction, adduction, and any technique that stresses the pubic joint

Answer

SPD involves instability of the pubic symphysis; movements that force the joint apart or together can worsen pain and inflammation.

(PMC) Prenatal Massage Certification Practice Test

(PMC) Prenatal Massage Certification Practice Test

PMC Contraindications & Risk Factors 3